Top 3 Prior authorization specialist Jobs in Melbourne, Fl

Patient Service Specialist PR - Patient Registration
Health First Careers —Palm Bay, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Health insurance
11d
Medical Receptionist at Florida Retina Specialists
Florida Retina Specialists —Merritt Island, FL
- $16 - $18 an hour
- Spanish
- Inventory management
- English
Quick Apply
8d

Discover related jobs

Based on your search for prior authorization specialist jobs.

MDS Coordinator-RN
Viera Health and Rehabilitation Center —Melbourne, FL
Current Florida Registered Nurse (RN) license or Licensed Practical Nurse (LPN). RAC-CT certification or willingness to obtain.
$34 - $42 an hour
Quick Apply
4d
Medical Assistant
Cano Health LLC —Palm Bay, FL
Utilize tools such as Availity, state immunization portals, lab portals (LabCorp, Quest), diagnostic/specialist portals, and internal ticketing systems (…
Quick Apply
8d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
2d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in melbourne, fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization specialist jobs near melbourne, fl

Medical Receptionist jobs in Merritt Island, FL

Patient Access Representative jobs in San Antonio, TX

Medical Call Center Representative jobs in Los Angeles, CA

Patient Registration Representative jobs in Oxnard, CA

Patient Registration Representative jobs in Munster, IN

Patient Registration Representative jobs in Memphis, TN

Patient Registration jobs in Indianapolis, IN

Patient Registration Representative jobs in Sparta, TN

Patient Care Technician jobs in Delaware

Medical Courier jobs in Buena Park, CA

Medical Receptionist jobs in Harrisonburg, VA

Receptionist jobs in Durham, NC

Medical Receptionist jobs in Kissimmee, FL

Dental Receptionist jobs in Houston, TX

Receptionist jobs in Madison, AL

Medical Receptionist jobs in Paterson, NJ

Medical Receptionist jobs in Kansas City, MO

Patient Service Specialist PR - Patient Registration

Health First Careers -
Palm Bay, FL

Apply Now

Job Details

Full-time
11 days ago

Benefits

Health insurance

Qualifications

Microsoft Excel
Microsoft Outlook
Heartsaver Certification
Serving clients
High school diploma or GED
Individual consumer customer service

Full Job Description

Job Requirements

The schedule for this position is Monday-Friday with rotating weekends; the schedule will vary between 10:30am-9:00pm

POSITION SUMMARY

The Patient Service Specialist Patient Relations (PR) ensures the Mission/Vision and financial integrity of Health First, Inc. by achieving sustainable levels of internal and external customer service, regulatory compliance, and financial performance within the revenue cycle.

PRIMARY ACCOUNTABILITES

Prepare charts for scheduled patients, obtain and verify authorizations, perform medical necessity, and ensure accurate orders are in place for all service lines.
Register patients by using two patient identifiers (name, date of birth, etc.), confirm armband accuracy, input demographics information, and secure the required forms to meet compliance with regulatory policies.
Perform Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identify patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as needed.
Complete Medicare Secondary Payer Questionnaire (MSPQ) for Medicare beneficiaries.
Verify insurance eligibility and benefits through eligibility systems or contacts insurance companies by phone, fax, online portal, and other resources to determine extent of coverage within established timeframe before scheduled appointments and during or after care for unscheduled or emergent patients.
Calculate patients’ co-pays, deductibles, and co-insurance. Provide patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service for both emergency and outpatient services.
Attempt to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances prior to service and post payments.
Ensure compliance with state and federal laws regarding all aspects of role.
Proficient and able to function in all Registration environments.
Mentor staff and assist with training new staff on department specific procedures and applications.
Daily reconciliation of payment collections, preparation of bank deposits, and petty cash distribution.

Work Experience

MINIMUM QUALIFICATIONS

Education: High School Diploma or equivalent.
Work Experience: One (1) year of Customer Service experience.
Licensure: None
Certification: American Heart Association (AHA) HeartSaver CPR AED course prior to start date and maintained.
Skills/Knowledge/Abilities:

Excellent communication/interpersonal skills and professional presence.
Working knowledge of Microsoft Office-Outlook, Word, Excel.
Ability to work autonomously with minimal supervision.
Ability to apply logic and common sense to identify issues related to work performed
Foundational critical thinking skills.
Ability to maintain composure in stressful work environment.
Ability to prioritize and organize to maximize quality, value, and service.
Ability to adapt to a potentially rapid changing environment or work process.
Excellent teamwork and collaboration skills.

PREFERRED QUALIFICATIONS

Work Experience: Two (2) years office or Customer Service experience.
Skills/Knowledge/Abilities:

General knowledge of healthcare terminology.
Experience working in multiple computer systems simultaneously.
Strong organizational skills

PHYSICAL REQUIREMENTS

Physically agile; may require walking, standing, running, bending, stooping, kneeling, climbing, or crouching frequently.
May occasionally include lifting or moving objects up to 50 pounds, with or without assistance.
May require moving in different positions to accomplish tasks in various environments including tight and confined spaces, including reaching out and above shoulders, or overhead.
May lift, turn, pull, push, or ambulate people and/or equipment with or without assistance up to 90% of the assigned shift.
May be exposed to inside and outside environments with varied temperatures, air quality, lighting, and/or low to loud noise.
May require working with biohazards such as blood/body fluids and airborne particles following OSHA and CDC guidelines.
Communicating with others to exchange information.
Visual acuity and hand-eye coordination to perform tasks.
Workspace may vary from open to confined.
May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.

Benefits

ABOUT HEALTH FIRST

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.

Schedule : Full-Time

Shift Times : variable

Paygrade : PG-PG-PG-PG-PG-24

Apply Now

Refine Your Search

prior authorization specialist jobs in melbourne, fl

Patient Service Specialist PR - Patient Registration

Medical Receptionist at Florida Retina Specialists

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in melbourne, fl

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected